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Increasing trend in patients with life-limiting and complex chronic conditions
Javier Ochoa-Brezmes1, Pablo Del Villar Guerra2, Jesús Andrés de Llano3
1Centro de Salud de Atarfe, Atarfe, Granada, Spain.
The number of children with life-limiting conditions (LLCs) or complex chronic conditions (CCCs) has significantly increased over two decades. This rise necessitates careful planning for specialized pediatric palliative and chronic care services.
Area of Science:
- Pediatric healthcare research
- Public health surveillance
- Chronic disease epidemiology
Background:
- Increasing prevalence of complex pediatric conditions requires updated epidemiological data.
- Understanding trends in life-limiting conditions (LLCs) and complex chronic conditions (CCCs) is crucial for healthcare planning.
Purpose of the Study:
- To estimate the prevalence of pediatric diagnoses associated with life-limiting conditions (LLCs) or complex chronic conditions (CCCs).
Main Methods:
- Retrospective population-based and hospital-based cohort study in Spain (2001-2021).
- Analysis of age-adjusted annual prevalences for LLCs and CCCs.
- Joinpoint regression used to analyze trends in condition prevalence.
Main Results:
- Prevalence of LLCs rose from 20.7 to 51.3 per 10,000 children.
- Prevalence of CCCs increased from 39.9 to 54.4 per 10,000 children.
- Overall prevalence of these conditions reached 86.8 per 10,000 by 2019, with a trend shift around 2020.
Conclusions:
- Significant increase in pediatric patients requiring specialized care over 20 years.
- Findings align with international trends in chronic pediatric conditions.
- Data highlights the need for robust planning of pediatric palliative and complex chronic care services.
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